PERFECTED enhanced recovery pathway (PERFECT-ER) versus standard acute hospital care for people after hip fracture surgery who have cognitive impairment: a feasibility cluster randomised controlled trial.

ABSTRACT:

Objectives

Assess feasibility of a cluster randomised controlled trial (RCT) to measure clinical and cost-effectiveness of an enhanced recovery pathway for people with hip fracture and cognitive impairment (CI).

Design

Feasibility trial undertaken between 2016 and 2018.

Setting

Eleven acute hospitals from three UK regions.

Participants

284 participants (208 female:69 male).

Inclusion criteria

aged >60 years, confirmed proximal hip fracture requiring surgical fixation and CI; preoperative AMTS ≤8 in England or a 4AT score ≥1 in Scotland; minimum of 5 days on study ward; a 'suitable informant' able to provide proxy measures, recruited within 7 days of hip fracture surgery.

Exclusion criteria

no hip surgery; not expected to survive beyond 4 weeks; al

SUBMITTER: Cross JL 

PROVIDER: S-EPMC8886407 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature